Healthcare Provider Details

I. General information

NPI: 1457534406
Provider Name (Legal Business Name): NINA MEISNER KOLBE RD LD CSR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 CONNECTICUT AVE
KENSINGTON MD
20895-2138
US

IV. Provider business mailing address

215 E ST SE
WASHINGTON DC
20003-1939
US

V. Phone/Fax

Practice location:
  • Phone: 301-816-5853
  • Fax:
Mailing address:
  • Phone: 202-544-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License NumberD1225
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD00901
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: